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Head Neck. 2011 Mar;33(3):330-3. doi: 10.1002/hed.21454.

Transoral robotic-assisted thyroidectomy: a preclinical feasibility study in 2 cadavers.

Author information

1
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.

Abstract

BACKGROUND:

Technological advances in thyroid surgery have included various "minimally invasive" thyroidectomy techniques, both open and endoscopic. These include not only minimally invasive video-associated approaches but also variations of the transaxillary approach. More recently, a transoral technique using video assistance has been reported for thyroidectomy. Use of the robot was also recently published in a transaxillary approach to the thyroid. We hypothesized that the robot in combination with the previously described transoral technique would facilitate this novel surgical approach.

METHODS:

In 2 human cadavers the da Vinci robot was used to perform a transoral thyroidectomy. The dissection was performed with successful removal of the thyroid gland through the floor of the mouth.

RESULTS:

A total thyroidectomy was performed in 2 cadavers using the da Vinci robot transoral technique. The recurrent laryngeal nerve was preserved.

CONCLUSIONS:

Transoral robotic-assisted thyroidectomy (TRAT) provides an attractive approach to the central compartment for thyroidectomy in a field of "minimally invasive" and "scarless" techniques.

PMID:
20629089
DOI:
10.1002/hed.21454
[Indexed for MEDLINE]

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